Individual
DAVID E TANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12188A N MERIDIAN ST STE 375, CARMEL, IN 46032-4433
(317) 926-1056
Mailing address
12188A N MERIDIAN ST STE 375, CARMEL, IN 46032-4433
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10001685A
IN
Other
Enumeration date
08/14/2014
Last updated
07/22/2022
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